Individual
EDUARDO SAN JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14900 NW 79TH CT STE 101, MIAMI LAKES, FL 33016-5869
(305) 821-0502
Mailing address
7966 NW 162ND ST, MIAMI LAKES, FL 33016-6111
(786) 683-9425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35779
FL
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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